ANDREW JOHN CONNOLLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010659

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JOHN

Last Name

CONNOLLY

Business Name

ANDREW JOHN CONNOLLY

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

09/30/2004

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005